Abstract: SA-PO032
Establishing Inpatient Dialysis Education Program Using an iPad
Session Information
- Educational Research
November 09, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Educational Research
- 800 Educational Research
Authors
- Ahmad, Syeda B., University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
- Chen, Huiwen, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
- Bender, Filitsa H., University of Pittsburgh, Pittsburgh, Pennsylvania, United States
- DeSilva, Ranil N., University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
Background
It is well known that providing chronic kidney disease education to patients will result in better planning for dialysis. However, there are patients who are admitted to hospitals with advanced kidney diease and require dialysis either during hospitalization or shortly after discharge. Many of these patients are started on hemodialysis (HD) rather than home dialysis despite dialysis modalities such as peritoneal dialysis (PD) and home hemodialysis (HHD) offering better quality of life. To address this gap, we established a quality improvement initiative to educate hospitalized patients near dialysis about kidney disease and dialysis modalities. The primary aim is to improve patient understanding of dialysis modalities and chronic kidney disease. Secondary aim is to refine educational material and determine what dialysis modality patients chose in long term and if there is an increase in number of peritoneal dialysis patients.
Methods
Enrollment criteria was patients admitted to UPMC Magee-Women’s and Presbyterian-Montefiore hospitals who are advanced CKD (stage 4/5) and planning to start dialysis on their admission or within several weeks of discharge as identified by nephrologist. The dialysis education was provided on iPad by a physician. Patient response to dialysis education was recorded using a survey.
Results
The project was initiated in January 2019 with enrollment of 10 patients. The average age was 57.5 years and 70% female with 70% of patients having previously seen a nephrologist. The average time required for education was 45 minutes. Patient reported post education understanding of dialysis and kidney disease as 4.6 (scale of 1 to 5). Post education, 50% of patients were leaning towards home dialysis.
Conclusion
Our preliminary results show that providing education increases awareness of home dialysis modalities with 50% choosing to do so. Interestingly, majority of our patients had previously seen a nephrologist but had required re-education highlighting that CKD patients require significant re-enforcement of their disease process. The patient response is overall positive (rating 4.6 out of 5). Results of a follow up survey to patients who did and did not receive education are pending and will help in determining the secondary aim. For furture improvement, we aim to incorporate tele-health nurse and patient advocate as educators.